HomeMy WebLinkAboutPermit Building 1975-11-05LANE COUNIY
TJUTLDtNC IX
DUILDING
r^H T'l
PER/,/.II OR MOBILE HOME USE PERMIT,
PtRM|I NO. 3007
,1 [rnoiifii'owNr n
t' I DR [loarnr
.^'i. coNTRACToRt' RussrLu
Nlorr r rr
P r cxetr
MAITINO ADDRTSS
10 SEwano
-"12
Spn truor re r-o 0ngcon- 7\6:l
MAILING ADORESS
2J20 Launn Srnerr SpR r uer r rLo Onec ON
PI.IONE :
725-7\55
I.;PROPERTY tOCAIION - INCtUDE POST OrrlCE
: l-lAyDEN Bn rocr \,/ay ro \days ror Loop Rt cnr oru Sewano F t nsr Housr oN rHE LEFr IN T
i'1. PROPERTY LEGAL oESCRIPTION - METES, EoUNDS
l''"' Bue rua V rsra Lor 3 llr-ocx 2
RAAIGE 1 S[CTION , ; " ,, .TAX LOT NO
22.)t .h 300
,ICENSUS TRACT.. coDE
03
.1.'.ir ,l APPt.
,id'lii uar,,u
,';rix! ,'i't;'r' *
.ir'1 l*lrrrNo
r.:,i Ji.;. ADDRESS
EXISTING STRUCIURES ON PRQPERTY
.i'.t ' ,
Morr TT -q_E_Par t q GnRacr
SauE
LEGAL ACCESS TO PROPERTY
Sewnno SrneEr
PROPERTY SIZE _ FT.
WIDTH DEPTH AREA
FOR MOBILE HOME PERMITS ONLY
No. of Bedrooms Connect lo Exislin
TYPE CONSTRUCTION
Sewoge System New System [--
STRUCTURES TO BE BUILT THIS PERMIT
Sronaee Snro 1\\sorr aZ.BO
SQ. FT. +, BDRMS VALUATION
$\or . eo
tl
SEWAGE DISPOSAT
. PUBLIC Xlsr srpttc loNr
BU ILD ING
,, wasrr DlsPosAL
,"'l PrunstNc
PIAN REVIEW
PARK TRAILER
,I,SURCHARGE
AL
otHrn
PLUMBING INSTALTED 8Y
OWNER OTHERI NAME
WATER SUPPLY,
.15
:l,it -
'{,
PUBLIC D D OTHER
'i. :
COUNTY BUILDING & SANITATION SPECIFICATIONS
MIN. SEPTIC TANK CAPACITY
ITH DIST. BOX: GAL
FROM'WEST DRA I}JL INES,
DRAIN FIELD REQUIRED
IIN. FT TRENCH WIDTH FT,SO. TT
OK BasED oN pLAN suB14 rt rED 'lo\/EVER :,ToriACe sul'LD rNG slrotj D BE AT LEAST' io'rerr
OCCUPANCY ZONE PUBLIC UIIL, EASEMENT
TYPE. OF STRUCTURE
;". 'r ri
)t\
'r FRONT
SETBACK
), i:a)SIDE INT. J SIDE EXT
5 .. FT. TROM CTR., OF , ROAD RIGHT OF WAY USE CLASSITICAIION
REAR
11')
i/s/ t . r.
AUTHORIZEO SIGNATURE _ DATE
Boss ev llaaoaueri l,4cKrv ion SHoox/sa*rrARtANS
OATE
DLM
BLDG. PERMIT _ WHITE .
oFncE coPY - wittTE r'
COUNTY TAX - PINK
PTUMBING _ CANARY
,BUII.DING _ GREEN
ATION _ GOTDENROD
IMPORTANT:
Coll 687-4065 to schedule oll recluired inspections' All
tion sholl comply with Uniform Building Code, D'E'Q'
for subsurfoce'sewoge disposol ond county regulotions
plumbing. All buildings require o certificote of occupon
being occupied.
constru(
slondorcl
coverin '
rcy befol
(See Deloils on Reverse Side)
iir
t)i..
'117
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'i I
$ 5 .00 FEES " ''
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litt' ''
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11
( :T THIS PERMIT ON MAIN BIDG. SITE)
LANE COUNTY, DEPT. Oi' ENVIRONMENTAL MAI'IAGI"''NT
cotJRIllol,5t ANl"lIx. l]1 iAsI 6lh. EUGtll[, oRt6o]l 97r01
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BTJ IT.D I NG S tTE EVALUAT ION \t/oK T R S TAXLOTsU6ffiN;-
LOT:BLOCK:
APPL I CANT
DATE
CKID By.r4- /a>-=o--(
( ) srrE rNSPEcloN
PLANNING DIVISION Not
A I i cabl
I
2
3
4
5
Zon i ng 0rd i nance Cornp I iancez Zone
Subdivision 0rdinance Compl iance
Setbacks Yrdri-cll of road:Front / {
5rde ExterrorT(
No Yesrl 1-I 6.
() ()
() ()
() ()
() ()
)
)
)
Requi red Access
Building Site (Area, Width, Frontage)
0ther (see conments)
Setbacks f
Side
Rear
rom interior I ines:{
r{-
COI{}.lENTS:
PLANN ING D IV IS IOTACTTOTPEND TNG:YES n NO il APPL I CAT IOM
BUILDING INSPECTION DIVISION
Plans Submitted
Soi I Stabi I ity (footings)
Flood PIain
0ther (see conments)
Not
Aool i cabl e*-Tr No Yesr)m(){)
() ()
() ()
)
)
)
(
(
(
7I
9
0 CKI D BY
COMMENTS:
IdATER POLUTION CONTROL Not
ll.
12.
ileets Department of Environmental
Qual ity Standards.
0ther (see comments)
Aool i cabl e No YesTT)r-I
() ()()CKI O BY
DATE
COHHENTS:
TO APPLICANT:
k fr'
Building / Site lnspection:
Can be approved.
Cannot be approved at this ti
Questions and further informa
c LANNING DIVISI Quest i on
t 2 contact t e NE
Ui I I be held in this of ce unt
ls being returned.
me as indicated on item N0
tion on items I through 5 contact t LANE.
eilf7s and fu
BU!LDING
rther information on it
SAN TAT ION D I
you can reso vet e prob
above.
"q\\
c55-28
)
)
Your buildin
135 Sixth Avenue East Eugene Oregoq 9pHp.-. 597-4065
LAN ;OUNTY PLANNING DTVISION PHONE: V6
ems
s ON
cated.
ermi t li tion fee is
V AL
r/401
7-41 85
( ) BUtLDtNG pERMtr AppLtcATtoN No.3ao2-7{
I
PERMIT /I o
NOTE: NO PERMIT TIILL BE ISSI]ED UNTIL THIS APPLIC.ATION HAS BEEN APPROVED
APPLICATION FOR:
CONSTRUCTION x MOBILE }IOME PLAN REVIEW
City Phone
rvp. 17 nance____Q_3__s ection 22 .4 .4 rax Lot 30 code 19-03 census Tract
Subdlvls ton Buena Vista LoE 3 Block 2 ?roperty Acr eage wldth 99Depth-_l-3.0-
ACCESS TO PROPERTY (Road Nane)Seward Street
Existlng Structures on Property House - Patio (Covered)Two car qarage
s
Name Address City Zlp Phone
l-x-l coNrRAcroR L. Rusge.!! Pickett 2320 Laura St. Sprinqfield 97477 726-7455
Name Address
o.s. REG. # Homebuilder # 000008404
ztp
Property LocaEion - Address/Directlons:Ha Br. Wa to Wa side rl-t on Seward
first house on left l_n east on seward
SEWAGE DISPOSAL
Site Inspec tion /l Exlstlng Sewage Dlsposal System
WATER SI]PPLY 3
Well
Publ1c
0the r
a
FEES I PLT]MBING:
edrooms Valuatlono
or New System Required
of Communlty or Public Systen
Name
z6
Installed by Or,rner
PLIJMBING FEES:
ty
ll ot ures
ther
Bldg.
Waste Dlsp.
Plumblng
Plan Review
Moblle Home
1Z Surcharge
Sewage
ConnecElon
Water
Connection
Ft\r-\ts VSr e.\"(
PI,ANS FACILITY PERMIT
YES
K CASH
$5
YES
ture of
eived
NO
TOTAL
Min. Septlc Tank Capacl
Applleant:_,r,( Yf
Drainfield Requl.red - Lineal Feet Maximun DepEh
Type of ConsEructlon Group Flre Zone Use Classification
Bldg Setbacks - from Center of Road Right of Way:
Slde Int. {-Side Exterior--Rear {-Zor]e
c55-r2 LANE COI]NTY DEPAR]I4ENT OF ENVIRONMENTAL A,IANAGEMEN T
R4
DATE:SANITATION: DATE: Jn(rytlW .TIILDING:DATEItt
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